Organization
GASTON FAMILY HEALTH SERVICES, INC
Active
Parent organization
GASTON FAMILY HEALTH SERVICES, INC
Other names
Kintegra/SHA at Clemmons Middle
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTON FAMILY HEALTH SERVICES, INC
Authorized official
SHARMILA ALEXANDER ANDERSON (REV CYCLE MANAGER)
(704) 874-1907
Entity
Organization
Contact information
Practice address
3785 FRATERNITY CHURCH RD, WINSTON SALEM, NC 27127-8723
(336) 703-4273
(336) 661-4954
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1900
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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